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NPI 1336766088

NPI 1336766088 : JAMIE ROSE PINNEY LMSW : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1336766088
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE ROSE PINNEY LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/29/2020
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    Last Update Date     |    11/26/2024
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Provider Practice Location Address
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    Address Line         |    801 NE ANDERSON LN 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64064-1244
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    Country              |    US
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    Telephone            |    913-263-6006
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    Fax                  |    816-836-2923
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Provider Business Mailing Address
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    Address Line         |    8702 W 49TH TER 
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    City                 |    MERRIAM
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    State                |    KS
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    Zip                  |    66203-1710
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    Country              |    US
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    Telephone            |    913-263-6006
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    Fax                  |    816-836-2923
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    2016011519
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    2024027145
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    License Number State |    MO
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